Dancer 1

First Name
Surname
Name on Name Tag
Dance Class Preference
Email
Phone #






Dancer 2

First Name
Surname
Name on Name Tag
Dance Class Preference
Email (if different from Dancer 1)
Phone # (if different from Dancer 1)








Other Information

Street Address
City
Province/State
Postal Code/ZIP




Release

I(We) understand that participation in Scottish Country Dancing demands a reasonable level of physical fitness. By submitting this online application I(We) am indicating that I will not hold the Ottawa Branch of the Royal Scottish Country Dance Society responsible for any resulting injuries.




Options Price Total
Full Weekend (all classes, lunch Sat, dinner and dance,classes and concert Sunday) $160 0.00
Friday Night Class only $20 0.00
Saturday classes (including lunch) $60 0.00
Saturday evening dinner and dance $75 0.00
Saturday evening dinner only $45 0.00
Sunday classes (does not include lunch) $20 0.00
Concert $25 0.00

Grand Total 0.00


Your paypal account or credit card will be charged $0.0 which includes an additional service charge to pay for the processing


Captcha image